Anthony Shawn Bankes, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2017-01552 Issued in NC

Practice address

2803 Medical Campus Drive
Seymour-Johnson AFB, NC 27531

Phone

(919) 722-1580

NPI assigned

Sep 20, 2005

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1194710780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N PURDY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DRIVE",
            "city": "SEYMOUR-JOHNSON AFB",
            "state": "NC",
            "postal_code": "27531",
            "telephone_number": "919-722-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKES",
        "first_name": "ANTHONY",
        "middle_name": "SHAWN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01552",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01055345A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4TH Medgrp-Seymour Johnson (DoD SEY-JOHN ePhcy)
• Isaiah Gary Allison
• Ryan Ashworth, MS, ATC, PMP
• Cameron Thomas Beckham, PA-C
• Chelsea Berghorn, MS, LAT, ATC, CSCS
• Tiffany Moore Brassard, RD
• Stacey Marie Brundrett, CNS
• Angela Marie Carter, IDMT

• Family Medicine Physician in Seymour Johnson AFB, NC
• Providers in Seymour Johnson AFB, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.